Organization Active NPI

Yoori Yim MD PC

  • Pain Clinic/Center
  • Bloomfield, NJ
National Provider Identifier
1144557794
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
MA41524 Issued in NJ
Legal business name
YOORI YIM MD PC
Practice address
323 Belleville Ave
Bloomfield, NJ 07003-3648
Phone
(973) 748-9400
NPI assigned
Nov 3, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yoori W Yim, MD
Title
President
Phone
(973) 748-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X MA41524 NJ Primary

Addresses

Primary practice location

323 Belleville Ave
Bloomfield, NJ 07003-3648

Mailing address

65 Acorn Dr
Watchung, NJ 07069-6260
Phone (908) 963-1753

National Provider Directory

National Provider Directory

Locations

323 Belleville Ave
Bloomfield, NJ 07003
Phone (732) 967-3429

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1144557794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ACORN DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696260",
            "telephone_number": "908-963-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BELLEVILLE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033648",
            "telephone_number": "973-748-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOORI YIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "YOORI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-748-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "MA41524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.